What is Health First Colorado (Medicaid)?
Health First Colorado (Colorado’s Medicaid program) is free or low-cost health care for Colorado children and adults who qualify. Coloradans who meet specific monthly income requirements can get insurance through Health First Colorado.
Coloradans can sign up for Health First Colorado any time during the year if they qualify. There is no open enrollment period for Health First Colorado during the year.
Applications can be submitted through Connect for Health Colorado or Colorado’s Program Eligibility and Application Kit (PEAK) eligibility system any time during the year.
See if you can sign up for Health First Colorado
You may qualify for Health First Colorado if you meet the monthly income guidelines:
|Family Size||Approximate Monthly Family Income to Qualify for Health First Colorado|
|Adults 19 – 65||Children 0 – 18||Pregnant People|
|1||Up to $1,616||Up to $1,725||Up to $2,369|
|2||Up to $2,186||Up to $2,334||Up to $3,205|
|3||Up to $2,755||Up to $2,942||Up to $4,040|
|4||Up to $3,325||Up to $3,550||Up to $4,875|
|5||Up to $3,895||Up to $4,158||Up to $5,710|
|6||Up to $4,464||Up to $4,766||Up to $6,546|
Comparing Connect for Health Colorado and Health First Colorado
Connect for Health Colorado is the official health insurance marketplace for Colorado residents to shop for health plans and access financial help.
Health First Colorado and Connect for Health Colorado both provide financial help to make health coverage and healthcare more affordable. Here’s an overview of how the plans Connect for Health Colorado sells are different from the coverage you get through Health First Colorado:
|Coverage Details||Connect for Health Colorado||Health First Colorado|
|Is there a monthly premium?||Yes, the monthly premium depends on your income, family size, and the plan you choose||No|
|Is there a deductible?||Yes, and the deductible will vary by insurance plan||No|
|Do I pay when I receive health care services?||Yes, you will pay copayments and coinsurance when you receive care||You might pay small copays for some services|
|When can I sign up for a plan if I do not have insurance?||November 1 – January 15||Anytime during the year, if you qualify|
|When can I sign up for insurance if my insurance plan just ended?||You have 60 days before OR 60 days after the day your plan ended to sign up||Anytime during the year, if you qualify|
|When can I sign up for insurance if I moved, got married or had a baby?||You have 60 days to sign up starting on the day you moved, got married or had a baby||Anytime during the year, if you qualify|
Go to Health First Colorado’s website if you would like more information about Colorado’s Medicaid program »
Can I still sign up for a plan through Connect for Health Colorado if I qualify for Health First Colorado?
- Yes. You can still purchase a private health insurance plan at full price if you qualify for Health First Colorado.
- NOTE: If you qualify for Health First Colorado or CHP+, you will not qualify for financial help to lower the cost of your health insurance plan through Connect for Health Colorado. You will pay full price for your health insurance plan.
I applied through Connect for Health Colorado and was told that my application was sent to Health First Colorado. What’s next?
- Watch your mail or email. You will get a notification from the State of Colorado with your application results. You will also receive a letter or email if more information is needed to complete the process.
- You may also check the results of your application through your PEAK account.
- If you do not have a PEAK account, you can create one at Colorado.gov/PEAK.
- You can use your Connect for Health Colorado log-in and password information to sign into PEAK.
- You can also use PEAK to manage your Health First Colorado or CHP+ benefits, print benefit cards, report changes and more.
- You do not need to submit another application through PEAK.
What is Child Health Plan Plus (CHP+)?
Child Health Plan Plus (CHP+) is public low-cost health insurance for certain children and pregnant women. CHP+ has different rules for qualifying than Health First Colorado. Some individuals who earn too much for Health First Colorado qualify for CHP+.
CHP+ covers doctor visits, emergency care, preventive care such as screenings and immunizations, and other procedures and treatments. CHP+ can help you and your family get healthy and stay healthy.
What Does CHP+ Cost?
CHP+ costs vary depending on your household size and income. CHP+ members may have to pay an annual enrollment fee. This fee is due within 30 days of your CHP+ approval. If the enrollment fee is not paid within the 30 days allowed then the family will be denied and will need to re-apply. Some CHP+ clients may also have to pay co-pays to their health care provider at the time of service. Pregnant women, American Indians and Alaskan Natives do not have to pay annual enrollment fees or co-pays.
See if you can sign up for Child Health Plan Plus (CHP+)
- Children age 18 and under and pregnant women age 19 and over
- Applicants with household income under 260% of the Federal Poverty Level (FPL). See the CHP+ Income Chart for details
- Lawfully present children and pregnant women with no five-year waiting period
- Children and pregnant people not eligible for Health First Colorado
- Children and pregnant people who do not have other health insurance
|Family Size||Approximate Monthly Family Income to Qualify for Child Health Plan Plus (CHP+)|
|1||$1,726 – $3,159|
|2||$2,335 – $4,273|
|3||$2,943 – $5,386|
|4||$3,551 – $6,500|
|5||$4,159 – $7,614|
|6||$4,767 – $8,727|
Financial help through Connect for Health Colorado
If you do not qualify for Health First Colorado or Child Health Plan Plus, you might be able to get financial help to lower the cost of private health insurance through Connect for Health Colorado.
The amount of financial help you can get is based on the cost of the premiums where you live, how many people are in your household and your estimated yearly income.